怀孕期间的慢性高血压是后代长期神经疾病的危险因素
Shahar Messing1, Gil Gutvirtz1, Tamar Wainstock2
1Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Pregnancy hypertension
|December 6, 2025
概括
孕产妇的慢性高血压会增加后代的神经疾病的风险. 这项研究发现,在子宫内暴露于慢性高血压的儿童中,长期神经问题的调整后危险比为1.56,尽管绝对风险很低.
科学领域:
- 产科和妇科 产科和妇科
- 儿科神经学 儿科神经学
- 公共卫生 公共卫生
背景情况:
- 孕产妇慢性高血压的患病率正在增加.
- 怀孕的高血压疾病与不良结果有关,但对后代的长期神经效应尚未得到充分研究.
研究的目的:
- 评估子女在子宫内暴露于母体慢性高血压的长期神经疾病,独立于产前.
主要方法:
- 基于人口的单独出生 (1991-2021) 的回顾性研究.
- 在患有慢性高血压的母亲的后代中,与没有慢性高血压的母亲相比,神经病率的比较.
- 利用卡普兰-梅尔曲线和通用估计方程 (GEE) 模型来分析累积发病率和对混因素的控制.
主要成果:
- 分析了342,635例分娩;0.9%的母亲患有慢性高血压.
- 暴露于母亲慢性高血压的后代显著增加了累积神经病率 (p < 0.001).
- 母亲慢性高血压被确定为后代长期神经疾病的独立风险因素 (aHR = 1.56,p < 0.001).
结论:
- 孕产妇慢性高血压,即使没有叠加的孕前症,也是长期后代神经疾病的独立风险因素.
- 神经疾病的绝对风险仍然相对较低.
- 需要进一步的研究来了解机制并制定预防策略.
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